P3-151: Severe sleep-disordered breathing is associated with cognitive performance in the general population: Results of the Heinz Nixdorf Recall study

2013 ◽  
Vol 9 ◽  
pp. P609-P609
Author(s):  
Martha Dlugaj ◽  
Gerhard Weinreich ◽  
Nico Dragano ◽  
Karl-Heinz Jöckel ◽  
Angela Winkler ◽  
...  
2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Zhongrong Wang ◽  
Mulalibieke Heizhati ◽  
Lin Wang ◽  
Mei Li ◽  
Zhikang Yang ◽  
...  

Abstract Background Sleep disordered breathing (SDB) plays a significant role in both sleep quality and cognition and whether it has an impact on the relationship between above two factors remains to be clear. The study aimed to explore the association between sleep quality and cognitive performance in general population by considering influence of sleep disordered breathing (SDB). Methods In this cross-sectional study, we enrolled subjects aged ≥ 18 years using a multi-stage random sampling method. Cognitive status was assessed using Mini Mental State Examination (MMSE) questionnaire, sleep quality using Pittsburgh Sleep Quality Index (PSQI) and SDB was assessed using No-SAS scale, respectively. Multi-variable logistic regression was applied to examine the association of sleep quality and cognitive performance. Subgroup analyses were performed in different age groups, and in those with and without SDB. Results Finally, 30,872 participants aged 47.5 ± 13.8 years with 53.5% women were enrolled, of whom 32.4% had poor sleep quality and 18.6% had low cognitive performance. Compared with good sleepers, subjects with poor sleep quality exhibited significantly higher presence of low cognitive performance (23.7% vs 16.2%, P < 0.001). Poor sleepers revealed 1.26 (95%CI: 1.16,1.36), 1.26 (1.08,1.46) and 1.25 (1.14,1.37) fold odds for low cognitive performance in general population and in subjects with and without self-reported SDB respectively. Stratified by age and SDB, the association was observed in young and middle-aged group without SDB (OR = 1.44, 95%CI: 1.30,1.59) and in the elderly group with SDB (OR = 1.30, 95%CI: 1.07,1.58). Conclusions Sleep quality is in a negative association with cognitive performance in general population independent of SDB, implying improvement of sleep disturbances is a potential objective of intervention strategies for cognitive protection at population level.


2018 ◽  
Vol 51 ◽  
pp. 1-6 ◽  
Author(s):  
M. Kohler ◽  
D. Kennedy ◽  
J. Martin ◽  
S. Coussens ◽  
Y. Pamula ◽  
...  

2021 ◽  
Author(s):  
Ablo Prudence Wachinou ◽  
Yèssito Corine Nadège Houehanou ◽  
Serge Ade ◽  
Terence Totah ◽  
Mathieu Berger ◽  
...  

Author(s):  
Fre Bauters ◽  
Marc Debuyzere ◽  
Julio Chirinos ◽  
Katrien Hertegonne ◽  
Ernst Rietzschel

2013 ◽  
Vol 14 ◽  
pp. e296
Author(s):  
S. Vat ◽  
J. Haba-Rubio ◽  
D. Andries ◽  
N. Tobback ◽  
M. Tafti ◽  
...  

Neurology ◽  
2016 ◽  
Vol 88 (5) ◽  
pp. 463-469 ◽  
Author(s):  
José Haba-Rubio ◽  
Helena Marti-Soler ◽  
Nadia Tobback ◽  
Daniela Andries ◽  
Pedro Marques-Vidal ◽  
...  

Objective:To assess the association between sleep structure and cognitive impairment in the general population.Methods:Data stemmed from 580 participants aged >65 years of the population-based CoLaus/PsyCoLaus study (Lausanne, Switzerland) who underwent complete sleep evaluation (HypnoLaus). Evaluations included demographic characteristics, personal and treatment history, sleep complaints and habits (using validated questionnaires), and a complete polysomnography at home. Cognitive function was evaluated using a comprehensive neuropsychological test battery and a questionnaire on the participant's everyday activities. Participants with cognitive impairment (global Clinical Dementia Rating [CDR] scale score > 0) were compared with participants with no cognitive impairment (global CDR score = 0).Results:The 291 participants with a CDR score > 0 (72.5 ± 4.6 years), compared to the 289 controls with CDR = 0 (72.1 ± 4.6 years), had significantly more light (stage N1) and less deep (stage N3) and REM sleep, as well as lower sleep efficiency, higher intrasleep wake, and higher sleepiness scores (all p < 0.05). Sleep-disordered breathing was more severe in participants with cognitive impairment with an apnea/hypopnea index (AHI) of 18.0 (7.8–35.5)/h (p50 [p25–p75]) (vs 12.9 [7.2–24.5]/h, p < 0.001), and higher oxygen desaturation index (ODI). In the multivariate analysis after adjustments for confounding variables, the AHI and the ODI ≥4% and ≥6% were independently associated with cognitive impairment.Conclusions:Participants aged >65 years with cognitive impairment have higher sleepiness scores and a more disrupted sleep. This seems to be related to the occurrence of sleep-disordered breathing and the associated intermittent hypoxia.


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